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General NPI Number Information
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NPI Number | 1942348115
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Entity Type | Individual
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Provider Name | ERIC DOUGLAS THOMPSON MFT
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 10/13/2024
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Provider Practice Location Address
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Address Line | 2600 S SUNSET AVE
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City | LITTLEFIELD
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State | TX
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Zip | 79339-4809
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Country | US
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Telephone | 806-485-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 S SUNSET AVE
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City | LITTLEFIELD
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State | TX
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Zip | 79339-4809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204752
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC42995
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License Number State | CA
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